Individual
LAUREN BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2005 W HAPPY VALLEY RD, SUITE 170, PHOENIX, AZ 85085-2893
(623) 322-0654
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646372
—
AZ
Enumeration date
04/07/2008
Last updated
04/01/2024
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